# COAST FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Andrew J. Henning
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811940935
- **Authorized official:** DR. ANDREW J HENNING MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (805) 928-3636

## Contact information

- **Practice address:** 201 S MILLER ST, SUITE 103, SANTA MARIA, CA 93454-5248
- **Practice address phone:** (805) 928-3636
- **Practice address fax:** (805) 928-3608
- **Mailing address:** 201 S MILLER ST, SUITE 103, SANTA MARIA, CA 93454-5233
- **Mailing address phone:** (805) 928-3636
- **Mailing address fax:** (805) 928-3608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 08/28/2012